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Justice is being denied to too many families

Harry Richford's death underlines the need for the health secretary to bring back the national maternity safety training fund – and there are other issues that require urgent attention – The Independent reports. 

Harry Richford had not even been born before the NHS failed him. An inquest has concluded he was neglected by East Kent University Hospitals Trust in yet another maternity scandal to rock the NHS. His parents and grandparents have fought a tireless campaign against a wall of obfuscation and indifference from the NHS. In their pursuit of the truth they have exposed a maternity service that did not just fail Harry, but may have failed dozens of other families.

As with the family of baby Kate Stanton-Davies at Shrewsbury and Telford Hospitals Trust, or Joshua Titcombe at the University Hospitals of Morecambe Bay Trust, it has taken a family rather than the system to expose what was going wrong. It is known that there are about 1,000 cases a year of safety incidents in the NHS across England, including baby deaths, stillbirths and children left brain damaged by mistakes.

Last week, the charity Baby Lifeline, joined The Independent to call on the Department of Health and Social Care (DHSC) to reinstate the axed maternity safety training fund. This small fund was used to train maternity staff across the country. Despite being shown to be effective, it was inexplicably scrapped after just one year. 

There are other issues that also need urgent attention. The inquest into Harry’s death, which concluded on Friday, lasted for almost three weeks. Without pro bono lawyers from Advocate, Brick Court Chambers and Arnold & Porter law firm, the family would have faced an uphill struggle. At present, families are not automatically entitled to legal aid at an inquest, yet the NHS employs its own army of lawyers who attend many inquests and can overwhelm bereaved families in a legal battle they are ill-equipped to fight. Even the chief coroner, Mark Lucraft QC, has called for this inequality of legal backing to end, but the government has yet to take action.

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Source: The Independent, 26 January 2020

 

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Justice at last as both parties pledge billions to blood victims

Jeremy Hunt will approve final compensation for the victims of the contaminated blood scandal this week after a Sunday Times campaign for justice was backed across the political divide.

The chancellor is preparing to unveil a package worth at least £10 billion for those affected by the deadliest man-made disaster in postwar Britain. Tens of thousands of people were treated with disease-ridden blood products from the United States in the 1970s and 80s.

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Source: The Times, 19 May

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Just over half of British Indians would get Covid vaccine, survey shows

Only a little over half of British Indians say they would get a coronavirus vaccine, according to research. 

Some 56% of British Indians said they would take up a vaccine when asked by the 1928 Institute, a new think tank led by academics from the University of Oxford. However, 31% per cent were unsure, while 13% said they would decline a jab, the online poll of 510 respondents found.

The think tank said much of this stemmed from people feeling they were not informed enough about the vaccines, while a significant proportion felt other people deserved to receive a vaccine more.

The researchers are calling for an urgent public health campaign and funding, with messaging in different languages and co-produced with community leaders to assuage doubts.

The government should also widely share information on how it is helping poorer countries distribute vaccines, given that several participants said vulnerable people and those in poorer countries should take priority, they said in their report.

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Source: The Independent, 21 January 2021

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Just one-fifth of staff speak up in trust’s internal inquiry

Just one in five staff who were approached in a trust’s internal inquiry – prompted by an undercover broadcast raising serious care concerns – engaged with the process, a report has revealed. 

Essex Partnership University Foundation Trust said it took “immediate action” to investigate issues highlighted in a Channel 4 Dispatches programme into two acute mental health wards last year. This included speaking to staff identified as a high priority in the investigation. 

However, a new Care Quality Commission report has revealed, of the 61 staff members the trust approached, only 12 engaged with the process. 

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Source: HSJ, 19 July 2023

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Just four out of 1,100 lone worker alarms being used by trust workforce

A trust which rented 1,100 lone worker alarms has found just four were in use after a year.

Sussex Partnership Foundation Trust rented the system for five years, with the contract starting in early 2021. But a year later only 51 of the units were assigned to a user, and just four were being used.

Most of the users had not completed their training and 19 had not even logged into the system to set up a profile, according to an annual health and safety report covering 2021-22.

The health and safety report said: “Unfortunately the system has yet to demonstrate value for money as the uptake within services across the trust is very poor, despite the extensive work by the health and safety team to encourage uptake.” This had included demonstrating the system at multiple meetings and trying to raise awareness.

A spokesperson from Sussex Partnership Foundation Trust said: “The lone worker system is one of the ways we ensure the safety of our staff who work alone. It has taken time to embed the new system due to the changes in working practices during the pandemic. However, in recent months we have seen the number of staff actively using the system increasing."

“There is more we are doing to ensure wider take-up and implementation, through a programme of engagement and training.”

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Source: HSJ, 9 August 2022

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Just 10 trusts responsible for half of ‘unacceptable’ placements

Just 10 trusts account for more than half of patients ‘inappropriately’ sent out of their area for a mental health bed – with dozens having to travel up to 300km, according to HSJ analysis.

Official NHS data for adults shows these 10 mental health providers accounted for 9,485 “inappropriate” out of area placement bed days during July, out of 18,705 across the 44 trusts reported nationally. 

At one trust, Sussex Partnership FT, 40 placements were recorded as being between 200km and 300km away in that single month. The trust has revealed in board papers that four were sent to Glasgow. It has cited a shortage of capacity in the Kent and Sussex adult eating disorder service having led to 25 OAPs, and also said “quality concerns” had caused a temporary lack of acute beds in the county.

Nationally, levels of “inappropriate” out of area placement – where people with acute mental health needs are sent up to hundreds of miles for a bed – are rising again, driven by quality failures, bed closures and staffing shortages.

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Source: HSJ, 3 November 2022

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Just 10 of 4,000 tainted blood victims have had compensation, campaigners say

Furious victims of the infected blood scandal have said that just 10 out of 4,000 people have received compensation under a new scheme, despite pledges from the Conservatives and Labour to sort out payments this year.

Campaigners say they have been “disengaged” by the Labour government and that, by this month, just 17 people out of the thousands eligible had been invited to register for compensation.

Five groups representing victims met officials dealing with claims last week, only for the meetings to end with those in attendance feeling they were being treated as a nuisance, rather than victims of a scandal from which they had suffered greatly.

Andrew Evans, chair of the group Tainted Blood, who was told aged 12 that he had contracted HIV from a contaminated blood product, said: “When the infected blood inquiry published its final report, the entire community breathed a collective sigh of relief. … we dared hope, for just a moment, that our decades of battling was coming to an end, and that compensation would now be swiftly forthcoming.

“With the promise that all of the infected would be paid before the end of 2024, followed swiftly in 2025 by the estates of those who have died and affected relatives in their own right, campaigners and the community hoped that the finish line was in sight, and all that remained would be a series of formalities.

“Since then, we have been disengaged by the government, and the goalposts have been drastically moved to the point where now, just before Christmas, only a quarter of one per cent of the infected have been offered compensation.

“Our battle, rather than ceasing, has intensified. The community, already heavily traumatised, is at breaking point. We, the campaigners, bear the burden of attempting to explain what is going on, although we have little more idea of that ourselves, and supporting thousands of devastated victims.”

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Source: The Guardian, 22 December 2024

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Just 1 in 10 scans moved to community centres despite push

Only about 1 in 10 CT and MRI scans are taking place in “community diagnostic centres” despite a national drive to shift these services into the community.

In August, the most recent data, there were a total of 723,243 CT scans conducted across the NHS, 59,300 (8%) of which took place in community diagnostic centres.

Meanwhile, there were a total of 398,199 MRI scans, 53,572 (13.5%) of which were carried out at CDCs.

One of the main aims of the CDC programme, in its third year, was to improve diagnostic accessibility, and reduce pressure on hospitals by shifting where many tests, including CT and MRI — key scans for detecting cancer — take place.

While MRI, CT and overall diagnostic activity at CDCs recorded by NHSE is up on last year (CDCs accounted for 6% of all tests in August 2023 and 10% in August this year), one expert told HSJ that progress had been “slower than hoped.”

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Source: HSJ, 7 November 2024

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Just 1 in 10 patients preferred face-to-face GP during Covid, finds NHS-backed research

Just 1 in 10 patients preferred face-to-face GP appointments during the Covid pandemic, with most requesting telephone consultations instead, according to research carried out on behalf of NHS England.

The Improvement Analytics Unit (IAU) – a partnership between NHS England and think-tank the Health Foundation – looked at data from 146 England GP practices using the askmyGP online consultation system between March 2019 and September 2021, examining over 7.5 million patient-initiated consultation requests.

During the pandemic, GPs suffered a backlash from the media, Government and NHS England over accusations that general practice was closed and GPs were not seeing patients face-to-face.

GP leaders suggested that NHS England needed to take the research into account and allow practices to decide their own way of working.

The research found that:

  • Before the pandemic, 30% of patients requests specified a face-to-face consultation, dropping to less than 4% at the beginning of the pandemic. 
  • But by the end of the study period in September 2021, only 10% of patients requests were for face-to-face GP appointments. 
  • Telephone consultations were the most popular option, making up over half (55%) of patient requests in 2020/21.
  • However, less than 1% of patients preferred a video consultation, according to the data.

IAU head at the Health Foundation Arne Wolters said: ‘Our analysis shows that patients often choose remote over face-to-face consultations and that GP practices can mitigate the risk of digital exclusion via a blended approach.’

He said that ‘traditional routes to accessing and delivering care’ had been ‘offered alongside an online option and, in planning care, practices were able to take account of factors such as patients’ age, frequency of use, clinical needs and preferences’, at the studied practices."

And he added: ‘With patient demand at an all-time high due to the care backlog

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Source: Pulse, 18 March 2022

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Jury concludes Sunny Parker-Propst was unlawfully killed and neglect contributed to the death Elena Ali

A jury has returned conclusions of unlawful killing, contributed to by neglect, and accidental death, contributed to by neglect, in respect of two premature babies poisoned with sodium nitrite in error 12 days apart at Chelsea and Westminster Hospital in 2020.

The ten-day inquest reached a conclusion of accidental death contributed to by neglect for Elena Ali and unlawful killing contributed to by neglect for Sunny Parker-Propst.

The inquest heard how Elena and Sunny were both given sodium nitrite instead of sodium bicarbonate while under the care of Chelsea and Westminster Hospital NHS Foundation Trust.  

The neonatal nurse coordinator gave evidence at the inquest where she accepted that she knew of the policy to check vials thoroughly by picking them up and looking at them at eye level, but she did not follow the policy. She accepted these are fundamental steps to take and that if she had taken the vial in her hand and looked at eye level, she would have been able to see sodium nitrite.  

Evidence was also heard from the hospital’s chief pharmacist, who the coroner said had admitted there had been a “complete and total” failure in self-checking within the pharmacy, which resulted in a box of sodium nitrite being issued instead of sodium bicarbonate. Internal investigations in the pharmacy failed to identify who had issued the wrong drug.  

Both families still do not know how a drug, that would never be needed in the neo natal intensive care unit, was checked out of the pharmacy and delivered to and stocked in the NICU cupboard under the heading sodium bicarbonate. 

It was heard how, had proper practice been applied, nurses would have noticed they were administering nitrite. Vials should have been checked properly and procedures should have been followed with timings recorded correctly and multiple nurses overseeing the process, with checks being restarted if anything was not done properly. When the potential drug error was recognised, the clinical staff should have been informed straight away. It was highlighted how the checks were basic and safety should come first, irrespective of the pressure the nurses were facing and if done properly, they would have realised it was nitrite and the deaths would not have occurred.

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Source: Leigh Day, 22 July 2024

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Junior doctors’ strikes will leave elderly patients stuck in hospital, warns Age UK

Thousands more elderly people will be stuck in hospital over Christmas because of junior doctors’ strikes, Age UK has warned.

The charity is among several who have said the timing of the strikes, which begin at 7am on Wednesday means it will be “extremely difficult to ensure safe and effective care” during them.

Age UK is one of five organisations raising fears over patient safety and making a plea to the British Medical Association (BMA) and Victoria Atkins, the Health Secretary, for a resolution to the dispute.

Junior doctors’ walkouts are due to last until Saturday, with their longest strike to come early in the new year, while flu, norovirus and Covid hospitalisations are rising.

In a joint letter with the NHS Confederation, Patients Association, National Voices and Healthwatch , Age UK said strike action in the days ahead could leave thousands of patients stranded in hospital for want of staff to get them discharged.

The latest figures show 13,000 such cases in hospitals despite being medically fit for discharge. The charities said the withdrawal of almost half the medical workforce in England would mean the most vulnerable are left “bearing the brunt” of the pay dispute.

“Our concern is that, despite the best efforts of hard-working NHS staff, it will be extremely difficult to ensure safe and effective care during this period for all patients that need it.”

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Source: The Telegraph, 20 December 2023

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Junior doctors’ strike: hospitals ‘worried about overnight patient safety’

Hospital bosses are worried about keeping patients safe overnight this week because of a shortage of consultants available to cover for striking junior doctors.

When junior doctors in England staged their first strike in mid-March in their pay dispute with the government, their consultant colleagues covered for them for the three days involved.

However, fewer consultants are available to do the same during this week’s four-day stoppage because it coincides with Easter, Passover and Ramadan and many are off.

NHS Providers, which represents health service trusts, highlighted the difficulty hospital bosses are facing in trying to ensure nightshift medical rotas are fully staffed this week. T

“Getting through today is just the start. Trust leaders are worried about securing adequate cover for the night shifts ahead. This is going to be a very long, difficult week for the NHS,” said Miriam Deakin, the head of policy at NHS Providers. “Keeping patients as safe as possible, trusts’ No 1 priority, will be even harder than in previous strikes so it’s all hands on deck.”

Other health professionals, including GPs, paramedics and pharmacists, were helping hospitals ensure patients received good care, Deakin added.

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Source: The Guardian, 11 April 2023

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Junior doctors’ strike will have ‘catastrophic impact’ on waiting lists

The four-day strike by junior doctors in England will have a “catastrophic impact” on NHS waiting lists, with up to 350,000 appointments and operations likely to be cancelled, the chief executive of the NHS Confederation has said.

Matthew Taylor said the industrial action this week posed risks to patient safety and called on the public to avoid “risky behaviour”.

“These strikes are going to have a catastrophic impact on the capacity of the NHS to recover services,” he told Sky News. “The health service has to meet high levels of demand at the same time as making inroads into that huge backlog that built up before Covid, but then built up much more during Covid."

He said he hoped everyone who needed urgent care would get it, but added: “There’s no point hiding the fact that there will be risks to patients – risks to patient safety, risks to patient dignity – as we’re not able to provide the kind of care that we want to.”

He called on the public to use NHS services responsibly.

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Source; The Guardian, 10 April 2023

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Junior doctors’ April strike led to 195,000 NHS hospital cancellations

Almost 200,000 hospital appointments and procedures in England were cancelled during last week’s junior doctors’ strikes, it has been revealed.

There were 20,000 more appointments cancelled in the strikes that ran between 11 and 15 April than in the shorter strike in March, NHS England figures show. A total of 27,361 staff were not at work during the peak of the strikes, though the true figure could be higher as some workforce data was incomplete.

The NHS’s national medical director, Prof Sir Stephen Powis, said the figures showed the “colossal impact of industrial action on planned care in the NHS”, with nearly half a million appointments rescheduled over the last five months.

He said every postponed appointment had “an impact on the lives of individuals and their families and creates further pressure on services and on a tired workforce – and this is likely to be an underestimate of the impact as some areas provisionally avoided scheduling appointments for these strike days”.

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Source: The Guardian, 17 April 2023

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Junior doctors win landmark case over rest breaks

Junior doctors have won a court case against a hospital trust over rest breaks which could have far-reaching implications for the NHS. The 21 doctors said Derby Hospitals NHS Foundation Trust failed to make sure they either took proper breaks or were paid extra for working. Lord Justice Bean said the trust's method of calculating breaks was "irrational" and a breach of contract.

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Source: HSJ, 31 July 2019

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Junior doctors threaten three-day strike with no A&E cover

Junior doctors have threatened to stage a “full walkout” for three consecutive days in March in which they would not treat A&E patients.

The British Medical Association told the government this morning that junior doctors would strike for 72 hours if it is supported in a ballot that opens next week. The association said that “doctors will not provide emergency care during the strike”, which is likely to worsen deadly accident and emergency delays.

Hospital bosses said they were “deeply worried” by the BMA’s announcement, urging the government to start negotiating rather than “sitting back and letting more strikes happen”. NHS bosses fear that the BMA will co-ordinate strike action with the nursing and ambulance unions if the dispute is allowed to rumble on. Nurses will strike on January 18 and 19, and ambulance workers are due to walk out on January 11 and 23.

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Source: The Times, 6 January 2023

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Junior doctors strikes will escalate to ‘indefinite with-drawl of labor’, union lead warns

Junior doctors could indefinitely withdraw labor, and strike for three days a month until next year, the medics’ union leaders have warned.

Hundreds of junior doctors gathered outside the largest NHS conference of the year, NHS Confedexpo, on Thursday chanting “pay us fair, pay right, we don’t want to have to strike”.

The British Medical Association’s junior doctor committee co-chair Dr Rob Laurenson warned junior doctors may next escalate strike action in an “indefinite withdrawal of labour”.

NHS England boss Amanda Pritchard said the strike is a “serious risk to patient safety” and industrial action “creates risk and upheaval”.

She said tens of thousands of appointments will be affected.

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Source: The Independent, 15 June 2023

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Junior doctors offered 22% rise in bid to settle dispute

The government has offered junior doctors a pay uplift worth around 20 per cent over two years to end their long-running industrial action.

The British Medical Association’s junior doctors committee is set to recommended the offer to members who will vote on whether to accept and end their dispute, several reports said.

HSJ understands the deal is worth a 22.3% cash terms pay increase over two years.

Reports said it included a backdated pay rise of 4.05% for 2023-24, on top of the existing deal of 8.8-10.3% depending on role or level. Then for 2024-25, the offer is for a 6% rise, and an additional one-off consolidated £1,000 payment—equating to a 7-9% rise.

If the deal is rejected by members, then industrial action could continue until at least September, when the junior doctors’ latest mandate is due to expire, days before the Labour party’s annual conference in Liverpool. The first strike was in March 2023.

The Government has not yet confirmed details of the offer, nor how it will be funded. NHS funding assumptions for 2024-25 only cover uplifts of 2%.

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Source: HSJ, 29 July 2024

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Junior doctors in England to strike for 72 hours in March

Hundreds of thousands of operations and medical appointments will be cancelled in England next month and progress in tackling the huge care backlog will be derailed as the NHS prepares to face the most widespread industrial action in its history.

Junior doctors are poised to join nurses and ambulance workers in mass continuous walkouts in March after members of the British Medical Association (BMA) voted overwhelmingly to take industrial action.

In only the second such action in the 74-year-history of the NHS, junior doctors will walk out for 72 hours – continuously across three days, on dates yet to be confirmed – after 98% of those who voted favoured strike action.

Amid an increasingly bitter row between health unions and the government, NHS leaders expressed alarm at the enormous disruption now expected next month.

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Source: The Guardian, 20 February 2023

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Junior doctors bring dispute to end by voting to accept Streeting’s pay offer

Junior doctors in England have voted to accept the government’s pay offer, bringing to an end one of the longest and bitterest disputes in recent NHS history.

Just under two-thirds (66%) of the 45,830 junior doctors who voted backed the deal, which will see them receiving an average salary increase of 22.3% over two years.

It ends 18 months of strikes during which junior doctors stopped work on 44 days – sometimes for five days at a time – causing huge disruption to the NHS.

The 22.3% increase was less than the 35% rise the British Medical Association’s junior doctors committee (JDC) had been seeking for the last two years as “full pay restoration” for the fall in their earnings they have experienced since 2008. But it proved enough to persuade a sizeable majority of that branch of the medical profession to call off their campaign of stoppages.

Danny Mortimer, the chief executive of NHS Employers, welcomed the news. “Health leaders will breathe a massive sigh of relief to know that the ongoing pay dispute between resident doctors and government has come to a successful resolution. The last thing our members wanted was the threat of more strikes over what is expected to be a very difficult winter,” he said.

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Source: Guardian, 16 September 2024

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Junior doctors and consultants to strike together

Junior doctors and consultants in England are to coincide strikes during the autumn in an escalation of the pay dispute with the government.

It will be the first time in this dispute they have walked together and comes after junior doctors voted in favour of continuing with strikes.

In the British Medical Association ballot 98% voted in favour, giving the union a fresh six-month mandate.

Junior doctors have already staged five walkouts this year.

They will strike on 20 to 22 September - the first day of which coincides with a walkout by consultants.

They will then walkout on 2 to 4 October, which is when consultants will also be striking.

When the two groups strike together cover will be provided to staff emergency services as well as a small amount of cover on the wards.

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Source: BBC News, 31 August 2023

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Judge sides with medical groups who challenged RFK’s vaccine policies

A federal judge has cleared the way for several prominent medical organisations to proceed with a lawsuit challenging policies enacted under U.S. Health Secretary Robert F. Kennedy, which they contend will lead to a decline in vaccination rates across the country.

U.S. District Judge Brian Murphy in Boston dismissed arguments from government lawyers who claimed the groups, including the American Academy of Paediatrics, lacked legal standing as they could not demonstrate direct harm from the policies. The lawsuit aims to invalidate all votes cast since June by a crucial vaccine advisory panel, whose members were personally selected by Kennedy.

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Source: Independent, 6 January 2026

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Judge says parents and children should receive infected blood payments

The parents and children of victims of the contaminated blood scandal should receive government compensation, a judge has said.

The chairman of the infected blood public inquiry, Sir Brian Langstaff, said it was time to "recognise deaths which have so far gone unrecognised". More than 3,000 people died after contracting HIV or hepatitis C via NHS treatments in the 1970s and 80s.

The government must now respond to the recommendations.

In August 2022, the government agreed to make the first interim compensation payments of £100,000 each to about 4,000 surviving victims, and bereaved widows. 

Sir Brian said, "It is a fact that around 380 children with bleeding disorders were infected with HIV. Some of them died in childhood. But their parents have never received compensation. Children who were orphaned as a result of infections transmitted by blood transfusions and blood products have never had their losses recognised. It's time to put that right."

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Source: BBC News

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Judge says latest safety data can be used in case against GMC over regulation of physician associates

Campaigners who are taking the General Medical Council (GMC) to court alleging failure to properly regulate physician associates (PAs) and anaesthesia associates (AAs) have been cleared to submit new patient safety evidence.

A judge has granted Anaesthetists United’s bid to submit two reports that were published after it began its legal case, and which the GMC had argued were inadmissible, for a judicial review in the High Court on 13 and 14 May.

One report is a systematic review published in The BMJ in March 2025, which found little evidence supporting the safety and efficacy of PAs and AAs in the UK.1

The other is a coroner’s regulation 28 “prevention of future deaths” report published in February 2025, regarding the death in 2024 of Pamela Marking, who was seen by a PA and died after having a nosebleed misdiagnosed. 

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Source: BMJ, 10 April 2025

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Judge says care home residents in England are legally allowed visitors

A senior judge has said friends and family can legally visit their loved ones in care homes, in an apparent challenge to recent government policy that has in effect banned routine visits in areas of high COVID-19 infection.

Mr Justice Hayden, vice-president of the court of protection which makes decisions for people who lack mental capacity, said courts are concerned about the impact on elderly people of lockdowns. He has circulated a memo that sets out his analysis that regulations do “permit contact with relatives” and friends and visits are “lawful”.

He was responding to guidance from the Department of Health and Social Care (DHSC) last month telling thousands of care homes in England that visiting should be stopped in areas with tier 2 and tier 3 lock down restrictions, apart from in exceptional circumstances such as the end of life.

It triggered blanket prohibitions by some councils and sparked anguish from relatives who warn a lack of contact is leading to misery and early death in some cases. Within a week, Gloucestershire county council told care homes in its area to stop visits until next spring.

With the England-wide lockdown starting on Thursday, care home providers, families and groups including Age UK and Alzheimer’s Society, have called on ministers to this time make clearer provisions for visiting. 

Hayden said exceptions in the existing regulations mean contact with residents staying in care homes is lawful for close family members and friends. He said the court of protection was concerned about “the impact the present arrangements may have on elderly people living in care homes,” citing their suffering.

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Source: The Guardian, 2 November 2020

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